NPI | 1184900508 |
---|---|
Entity Type | Organization |
Authorized Contact | OLIVER CECIL ROBERSON Owner 202-293-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: DC CH30034) |
Enumeration Date | 2011-10-31 |
Last Update Date | 2011-10-31 |